11 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
, Hypothyroidism ... Hyperreflexia: • Hypocalcemia ... , Hypomagnesemia ... , Hyperthyroidism ... diagnosis #table #neurology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diagnosis Renal Causes ... with secondary, hypocalcemia ... Renal Causes of ... #nephrology #magnesium ... #low
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Approach to Hypomagnesemia ... @NEPHKIDS1 #Hypomagnesemia ... differential #diagnosis #causes ... #nephrology #magnesium ... #low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Hypercalcemia - Hypokalemia ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
potassium(K) & magnesium ... wasting from other causes ... consumption • Low ... differential #potassium #nephrology ... #low
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... hormone secretion, Hyperthyroidism ... #Causes #differential ... #diagnosis #nephrology ... #magnesium #low
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Causes of Hypokalemia ... Decreased intake (rare cause ... Gittelman's syndrome • Magnesium ... artery stenosis Low ... #Nephrology #Differential
Hypermagnesemia - Diagnosis and Management

Hypermagnesemia is a serum magnesium concentration > 2.6 mg/dL.
Symptoms include hyporeflexia, hypotension,
Hypermagnesemia ... mortality in ICU Causes ... hypercalcemia, Hypothyroidism ... helpful in severe cases ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
, mild hypomagnesemia ... alkalosis • Normal or low ... potassium wasting) • Hypomagnesemia ... • Potassium • Magnesium ... Syndrome #diagnosis #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... can be high or low ... Uosm), Hypothyroidism ... Present (Uosm ≥100): Hypovolemia ... table #sodium #nephrology